Abstract
Primary tumours of the epididymis are rare and usually benign, with adenomatoid accounting for single most pathology. Most common paratesticular malignant tumours are rhabdomyosarcoma. Malignant epididymal tumours are rare and present as either primary or metastatic lesions. Case report: We present a rare case of carcinoma of the left epididymis in a 72 year-old man. This case is clinicoradiologically suspected as a case of carcinoma of the left epididymis. The pathological diagnosis was adenocarcinoma of the epididymis. The patient was treated by surgery and radiotherapy and is disease free since 9 months after treatment.

Key words: Primary carcinoma, epididymis, adenocarcinoma